Active NPI
William Donovan Spangler, M.D.
- Pediatrics Physician
- Sonora, CA
National Provider Identifier
1194701441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A92843
- Practice address
- 12971 Cabezut Rd
Sonora, CA 95370-5927 - Phone
- (209) 532-5524
- Fax
- (209) 532-1513
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A92843 | CA | Primary |
Addresses
Primary practice location
12971 Cabezut Rd
Sonora, CA 95370-5927
Mailing address
12971 Cabezut Rd
Sonora, CA 95370-5927
Phone (209) 532-5524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92843 | CA | MD | Pediatrics Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Valley Oak Pediatric Associates | Pediatrics | Past | Accepting new patients |
| Sonora Community Hospital | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- valleyoakpediatrics.williamspangler@159973.advancedmd-direct.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1194701441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12971 CABEZUT RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953705927",
"telephone_number": "209-532-5524",
"fax_number": "209-532-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12971 CABEZUT RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953705927",
"telephone_number": "209-532-5524",
"fax_number": "209-532-1513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANGLER",
"first_name": "WILLIAM",
"middle_name": "DONOVAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A92843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.